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SAN JOAQUIN LOCAL HEALTH DISTRICT <br /> 1501 E. Hazelton Ave. . P. 0. Box 2009 <br /> Stockton, CA 95201 <br /> (209) 466-6781 <br /> Jogi Khanna, M.D. , Health Officer <br /> ' KOOKE40 <br /> •KOOKEN TRUCKING, INC . • KOOKEN TRUCKING, INC . <br /> 4026 MUNFORD . 4026 MUNFORD AVE . <br /> STOCKTON , CA 95205 • STOCKTON, CA 95205 <br /> Billing statement for 1987 Permit Underground Tank Facility. <br /> Statement Date: March 15 1987 P'AYMEIVT' <br /> Due: April L5 19 7 RECEIVED <br /> Facility $ 100 <br /> MAY 4 1987 <br /> * ENVIRONMENTAL HEALTH <br /> Container # Status A PERMIT/SERVICES <br /> 1 _ <br /> $ <br /> State surcharges @ $56 per tank x <br /> Subtotal of permit fees: $ 150 <br /> Additional Billings or Credits <br /> $ <br /> TOTAL FEES DUE: $ 150.00 <br /> Penalties will be added Notify the San Joaquin Local Health District <br /> after due date as shown: of any corrections or changes necessary. <br /> Permit will be mailed upon receipt of payment <br /> and approval of facility. <br /> 30 days - 100% of Base 'Fee Return payment along with one copy of this <br /> statement to: <br /> San Joaquin Local Health District <br /> Environmental Health Permit/Services <br /> * P. 0. Box 2009, Stockton, CA 95201 <br /> A - Active <br /> TC - Temporary Closure <br /> PC - Permanent Closure <br /> 0 <br />